| NPI | 1033229083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KY 44533) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY TP990) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-12-09 |